Individual
MRS. MAXINE ANGELLA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2924
(803) 576-2996
Mailing address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 766-8146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
250773
SC
163WC1500X
Community Health Registered Nurse
Primary
250773
SC
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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